My Smile Dental

NPI #1518294669 in Bradenton, Florida

Provider Information

NPI Number: 1518294669
Entity Type: Organization
Organization Name: My Smile Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 520 48TH STREET CT E
City: Bradenton
State: Florida
ZIP Code: 34208-5508
Phone: (941) 748-9393

Authorized Official

Name: DR. MARTINA MALLERY, D.D.S.
Title: OWNER/PROVIDER OF SERVICES
Phone: (941) 748-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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